# HERITAGE HEALTH AND WELLNESS NP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356119903
- **Authorized official:** IFEOMA CYNTHIA ANIEMEKA MD (NURSE PRACTITIONER)
- **Authorized official phone:** (310) 921-0196

## Contact information

- **Practice address:** 879 W 190TH ST STE 400, GARDENA, CA 90248-4223
- **Practice address phone:** (818) 922-7339
- **Practice address fax:** (818) 922-7337
- **Mailing address:** 879 W 190TH ST STE 400, GARDENA, CA 90248-4223
- **Mailing address phone:** (818) 922-7339
- **Mailing address fax:** (818) 922-7337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 03/03/2025